CHARGE NURSE / EMERGENCY NURSE PRACTITIONER Royal Alexandra Hospital. Job Reference: N Closing Date: 09 March 2018

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1 CHARGE NURSE / EMERGENCY NURSE PRACTITIONER Royal Alexandra Hospital Job Reference: N Closing Date: 09 March 2018

2 Dear applicant, Thank you for your interest in this post and for taking the time to read this information pack. We hope this exciting and rewarding role catches your imagination and that you are encouraged to apply. As the largest Health Board in Scotland, NHS Greater Glasgow and Clyde plays a vital role in the education and training of doctors, nurses and other health professionals, working closely with local universities and colleges. It also provides the full range of community hospital services. The Board has an annual turnover of billion per year. It serves a population of 1.14 million people and employs 39,286 staff. The following is included in this information pack to help you with your application: Job description Person specification A summary of the terms and conditions for the post Agenda for Change pay bands and points The application process Guidance for completing your application form Working for NHS Greater Glasgow and Clyde If you have a disability or long-term health problem, the Board is committed to offering reasonable adjustments throughout the recruitment process and employment. If you require further information or support, please contact Recruitment Services. We very much look forward to receiving your application. Recruitment Services

3 Agenda For Change Job Description Template 1. JOB IDENTIFICATION Job Title: Charge Nurse / Emergency Nurse Practitioner Responsible to: Senior Charge Nurse Department: ED RAH Directorate: Emergency Care and Medical Specialties 2. JOB PURPOSE You are responsible for the assessment of care needs, the development, implementation and evaluation of programmes of care, without supervision and will be required to teach other nursing and non-nursing staff. You will provide all supporting mechanisms to achieve this in conjunction with the Senior Charge Nurse / Charge Nurse. The position encompasses a specialist clinical role of Emergency Nurse Practitioner. It is essential you are an NMC registered Nurse with formal ENP qualification. 3. ROLE OF DEPARTMENT Busy Emergency Department which sees approximately patients a year including both adult and paediatrics cases, encompassing specialties including medicine/ surgery/ gynaecology/orthopaedics/ent /ophthalmology and paediatrics Staffing numbers 59 trained staff and 7 health care support workers 4. ORGANISATIONAL POSITION Senior Charge Nurse Charge Nurse/ Coordinator This Post Healthcare Support Workers Staff Nurses 5. SCOPE AND RANGE Co-ordinates the provision of seamless care for patients from admission to discharge by utilising efficient verbal and written communication practices with all members of the Multi-Disciplinary Team / Primary Care Services and Carers. Provides senior cover for, and is responsible for the ongoing management of the ward/ department area in the absence of the senior nurse.

4 6. MAIN TASKS, DUTIES AND RESPONSIBILITIES CLINICAL Assesses, plans, implements and evaluates programmes of care with reference to patients, without direct supervision. Demonstrate competency in professional skills relating to ENP practice and expand those skills to meet the needs of the patients. The post holder will be responsible for the assessment, diagnosis, treatment and discharge of specific groups of patients according to ENP policy, utilising a range of investigatory procedures without reference to a doctor. Assist the ward/department manager to facilitate change processes within the area whether clinical or managerial in nature to ensure that the ward/department team foster innovative practice and meet patient needs. In the absence of the ward/department manager, the post holder will supervise, deploy and develop all staff to ensure efficient management of a rapidly changing and developing nursing service. Co-ordinates the provision of seamless care for patients from admission to discharge by utilising efficient verbal and written communication practices with all members of the Multi-Disciplinary Team / Primary Care Services and Carers. Ensure that all written documentation within the ward/department area is clear, concise, timely and complies with the NMC Standards for Records and Record Keeping. Establish, maintain and develop effective communication with all disciplines, patients and relatives. MANAGERIAL Provides senior cover for, and is responsible for the ongoing management of the ward/ department area in the absence of the senior nurse. In conjunction with and/or in the absence of the ward/department manager, participate in efficient and effective HR planning management of employee conduct, duty rosters, annual leave, study leave, mandatory training sessions, sickness absence reporting and management of the appropriate use of Bank and Agency nursing complying with agreed policy and procedure. Assist the ward/department manager in the recruitment and selection of staff as required. Assists the ward/department manager in ensuring all ward/department nursing staff attend regular 1:1 meetings ensuring completion of regular PDP s and appraisals according to Organisational Policy. Ensures effective management of ward/department resources including stores, supplies and medicines. Participate in ward/department, ENP and directorate audit activity where appropriate and assist the ward/department manager in the development of evidenced based practice as required. Is aware of, observes and adheres to hospital, organisational and national policies. Reports all accidents/incidents/complaints involving patients, carers and staff to the

5 senior nurse and commence enquiries or documentation as necessary. EDUCATION Assists the senior nurse in the development of ward/department based orientation and education programmes for newly qualified staff and student nurses and acts as mentor / preceptor as required. Provides teaching, guidance, supervision and support for junior staff (qualified and non qualified) acting as a resource, advisor and role model to colleagues in the delivery of care. Help foster and maintain an environment which encourages staff development, supporting and counselling staff as necessary. To maintain an extensive knowledge of A&E and ENP nursing practice by participating in on-going education and continuing self development, including regular appraisal of own performance. HEALTH AND SAFETY Actively promote the safety of patients, visitors and staff at all times and ensure that systems are in place to identify clinical risk and report incidents to the Directorate Nurse Lead, complying with all Organisational, Health and Safety and Infection Control policies. Participate in the identification of risk and risk management strategies incorporating these, through nurse management, to the risk register and ensure that all risks to patients and staff are identified through the use of the Clinical Incident Reporting System To keep abreast of and inform junior staff of changes in Health and Safety Legislation and policies with particular regard to COSHH, Fire, RIDDOR, infection Control and Manual Handling 7a. EQUIPMENT AND MACHINERY Computer Monitors Cannulae, Needles, Syringes Trolleys/wheelchairs/pat slides/walking aids eg; crutches Blood gas analyser Blood warming unit/rapid infuser Syringe pumps Resuscitation equipment/oxygen therapy equipment Defibrillator ECG Continuous Positive airway Pressure masks and machinery Slit Lamp Generating duty rosters, retracing info from cardiac database Observation of patients Preparation of injections, IV s Venepuncture/Cannualtion Movement of patients/ Transport of equipment Movement of patients/ Transport of equipment Input blood for analysis

6 Resuscitation of patient Administering medication Resuscitation of patients Obtain data for diagnosis Maintenanace of optimal oxygenation levels for patient Removal of corneal foreign bodies Examination of Ophthalmology conditions 8. DECISIONS AND JUDGEMENTS Organises own time whilst team leader and also that of junior staff. Takes charge of ward area as required and utilises staff resource as required Plans patient care Recognises unexpected emergency resuscitation events and responds accordingly Utilises skills in immediate Life Support/Trauma Nursing for dealing with critical situations including traumatic events Directorate page holding duties acting as senior nurse for directorate as required Prescribing agreed medication following patient group directives 9. COMMUNICATIONS AND RELATIONSHIPS Patients/Carers Patients condition and progress Barriers to understanding due to patients with alcohol and/or drug abuse/reducing degrees of consciousness/cerebral events Sensory deficits/mental illness Unrealistic expectations of said Challenging behaviour Colleagues/MDT/Medical staff Primary Care Services Ambulance Service Emergency Services Higher education authority Students in training Voluntary services Care planning/discharge planning/meetings Discharge planning Transport and Transfer Reporting of disturbances/transfer of acutely ill patients to Area out-with local hospital Liaison re student supervision Supervision and teaching clinical skills Chaplaincy 10. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB :- Physical Skills Manual Handling skills/patients/trolleys Physical Life Support skills at advanced level (BLS/ALS/TNCC) and emergency call out whilst on shift Dexterity of managing venous/arterial lines/iv injections and infusions Wound management/ Suturing/Wound closure Management of body cavity drains Keyboard skills for computer use Application of plaster casts Management of aggression skills Physical Demands

7 Movement of patients/ equipment/beds/trolleys/monitors Long and rotational shift patterns Cleaning and maintenance of equipment Mental Demands Calculation of drug dosages Increased concentration in developing rosters /manpower Planning/patient care with unpredictable interruptions in task Due to emergency event eg; cardiac arrest/major trauma Complaints Handling and responses Multi-tasking and prioritising Assessment and teaching of qualified nurses Management of major incidents Emotional Demands Bereavement and breaking bad news in sudden death cases Challenging behaviour from patients and carers/verbal and physical aggression Exposure to substances hazardous to health eg; body fluids Managing potential /actual disciplinary issues Exposure to trauma Domestic abuse issues Child protection issues in paediatric abuse Working Conditions Working in allocated area which is split into 4 areas Majors / Minors / Triage / Resus 11. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Reality of patients and carers expectations Clinical prioritising Managing fast throughput of patients Emotional aspects of remit Inability at times to maintain high standard due to limited resources and increased demand In workplace Responsibility for autonomous decision making 12, KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB NMC Registration Level 1 Formal ENP qualification Good communication practices Good organisational skills Able to work without supervision/own initiative Evidence of continued professional development Effective decision making and problem solving skills. Possession of/or evidence of the potential of working towards a first degree Self motivated, articulate and assertive A positive and interested outlook personally and professionally, with skills in the management of nurses and their delivery of care

8 Job title Summary of terms and conditions The terms and conditions of service are those approved and amended from time to time by the National Agenda for Change Terms and Conditions Agreement. Job reference number Charge Nurse / Emergency Nurse Practitioner N Closing date 09 March 2018 Vacancy enquiries to Agenda for Change band: Band 6 Salary Hours Base Contract type Annual leave Superannuation For information specific to the role, contact: Gerry McLaughlin, Please refer to Agenda for Change Payscale on the following page. All values are per annum (pro rata where applicable). Please note candidates new to the NHS should expect to start at the entry point of the payscale shown hours per week Royal Alexandra Hospital Permanent The basic annual leave entitlement in a full year commencing 1st April to 31st March is 27 Days on appointment, rising to 29 days after five years and 33 days after 10 years. Leave entitlement is pro rata where applicable. All employees are automatically enrolled it the Scottish Public Pensions Agency. Healthcare Support Workers All NHS Scotland postholders that are not governed by a regulatory or professional body are considered to be healthcare support workers. On appointment, you will be expected to comply with the NHS Scotland Mandatory Induction Standards and Code of Conduct for Healthcare Support Workers. Smokefree policy Equal opportunities Healthcare Support Workers are expected at all times to practice competencies that demonstrate insight, understanding and mutual respect of patients, their families, carers and work colleagues. Whether in a clinical or non-clinical role the post holder is expected at all times to be an exemplar of person centred care, embracing their Code of Conduct to a high standard as part of an integrated health professional team. NHS Greater Glasgow and Clyde operates a smokefree policy on all premises and grounds. NHS Greater Glasgow and Clyde is as an equal opportunities employer.

9 Agenda for Change pay bands and points Point Band 1 Band 2 Band 3 Band 4 Band 5 Band 6 Band 7 Band 8 Band ,532 16, , , ,760 17, ,295 18, ,903 18, , , ,302 20, ,727 20, , , , ,440 22, ,910 22, , , , ,830 26, ,911 27, ,034 29, , , ,013 32, ,058 33, ,234 34, ,933 35, , , , ,833 40, ,205 42, , , ,562 47, ,000 49, , , ,232 57, ,799 58, , , ,599 68, ,559 70, , , ,011 81, ,932 84, , , , ,450 Range A Range B Range C Range D

10 The Application Process Please ensure you read the Job Description and Person Specification along with the guidance notes on completing your application form. The hiring manager will shortlist an application for interview based on its content, therefore it is in your best interests to ensure you submit a fully and appropriately completed application. You will receive confirmation that your application submission has been received when you submit your online application form. When we begin to process your application, you will receive an from NHS Greater Glasgow and Clyde confirming receipt. If you have not received a confirmation within 3 days working days from the closing date, please Unfortunately, due to the volume of applications NHS Greater Glasgow and Clyde receive, we are unable to write to applicants who are not successfully shortlisted for interview. Accordingly, if you have not received an invitation for interview within six weeks of the closing date please assume on this occasion you have been unsuccessful. We hope this will not deter you from applying again. We will use several methods of communication to advise you of each stage of the recruitment process this includes: , letter, SMS text, or telephone. It is essential that you regularly check your and your phone to see if we have been in contact with you to update you on the progress of your application. Please ensure your account does not treat NHS Greater Glasgow and Clyde as spam or junk by adjusting the necessary settings. Please ensure you retain a copy of the job description and person specification for the post you are applying for you will need this to help you prepare if you are selected for interview. Please retain details of the job reference number you will need this if contacting NHS Greater Glasgow and Clyde Recruitment Services. Should you require further information or assistance in relation to your application please visit or your enquiry to Please ensure you have the job reference number to hand. For details on what happens once you have submitted your application, please visit the NHS Greater Glasgow and Clyde recruitment guidance for applicants.

11 Guidance for completing your application form Completion of the application form is the first stage in the recruitment process, and if you are successful, will form the basis of your employment record. Complete and accurate information is essential. Please note: If you knowingly withhold or provide false or misleading information, this may result in your application being rejected, or if appointed, may result in dismissal from your post. Your application form plays a vital role in the recruitment and selection process. The information you provide us with in your application form will be used to decide whether you are shortlisted to attend an interview. Only those applicants who can clearly demonstrate in their application form how they meet the minimum essential requirements for the post as specified in the job description and person specification will be considered for interview selection. Applicants should read the candidate information pack and job description for the post prior to completing the online application form. When completing the online application form applicants should read the instructions in each section and note the following: the application form has an automatic time out mechanisms, therefore you should click on the "save" button as you go through the application form or copy and paste from another document, to avoid losing content. please do not use any special characters (i.e., #, &, %) when completing your application. You are permitted to use symbol. It is recommended that you complete all relevant sections of the application form. It does not matter how long ago your last employment was, if you have an employment history please list it. If you have not previously been employed, please use the Present or Most Recent Post section to detail what you have been doing (i.e. full time student / parent / carer). Please note that you can list unpaid work including work placements and volunteer work in your employment history. NHS Greater Glasgow and Clyde do not accept Curriculum Vitaes (CV), unless a CV has been specifically requested as part of the recruitment process. By completing and submitting an application for this post you give your consent for NHS Greater Glasgow and Clyde to commence pre-employment checks, including reference checks, once your formal conditional offer of employment is made to you. Click Here for more information. For details on NHS Greater Glasgow and Clyde s pre-employment check procedures, please visit the NHS Greater Glasgow and Clyde recruitment guidance for applicants.

12 Part A (Personal information), Part B (Declarations), Part C (Application Details) The job description provides information about the main duties and responsibilities of the post being advertised. It also describes the purpose of the post. Please ensure that your application form clearly demonstrates how your skills / knowledge / experience can be utilised in the role. The job description and person specification also specify the requirements or criteria (knowledge, skills, experience, abilities and qualifications) that are essential or desirable to perform the duties outlined. Please ensure in your application that you demonstrate how you meet the minimum essential criteria and where applicable, the desirable criteria for the role. Certain posts in NHS Scotland are exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) (Scotland) Order Click Here for more information. If the advertisement for this position has declared that we require a Disclosure Scotland PVG Scheme Membership / Disclosure Scotland Check, you must declare any previous convictions, classed as either spent or unspent, including criminal convictions received outside the United Kingdom. The Asylum and Immigration Act 1996 states that it is a criminal offence to employ a person who is not entitled to work in the United Kingdom (UK). Consequently, before NHS Greater Glasgow and Clyde offers employment, the prospective employee must provide evidence, that he/she is entitled to work in the UK. All applicants regardless of nationality will be asked to provide evidence of eligibility to live and work in the UK. As a Disability Confident Employer, NHS Greater Glasgow and Clyde operates a Guarantee Interview Scheme for disabled applicants. Candidates who have declared a disability and who meet the minimum essential criteria outlined within the job description / person specification will be guaranteed an interview. You must provide full and complete employment references including a work address (personal address for employment references may not be acceptable) covering a minimum period of the last three years. Employment referees should be listed in chronological order that is the most recent first. If you have had more than two employers in the last three years we will require additional references. Character referees should only be used in the event that you cannot provide two employer references covering the last three years. Any gaps in employment history must be detailed within your supporting statement and will be explored carefully with you at the interview stage. If you have an employment history of less than three years, you should provide full details of an academic referee or other person who is not a friend, is not related to you or involved in any financial arrangement with you to provide a personal reference.

13 If you have had no previous employment or have been self-employed you should provide details of two personal referees as outlined above and where applicable evidence to confirm your status (i.e. letter from Jobcentre Plus, academic record or evidence from HM Revenue & Customs) if you are shortlisted for interview. Your application form provides you with an opportunity to provide a supporting statement. This section is one of the most important in the application form as the information that is provided here will be evaluated and used to decide if you are invited to attend interview. This section gives you the opportunity to describe and demonstrate the particular qualifications, skills, abilities, knowledge, relevant experience and other qualities that make you a good candidate for the post. Part D (Equal Opportunities) This part of the form is optional and the information you provide in this section exercises no part of the selection process. It is treated in confidence and only the Recruitment Service or Human Resources staff can access this information for the purpose of recording and compliance monitoring, to ensure our workforce is balanced and represents the best candidates from all parts of society regardless of age, disability, gender reassignment, marriage or civil partnership, pregnancy or maternity status, race, religion or belief, sex, sexual orientation and/or socio-economic status. Data Protection Act 1998 The information you provide on your application will be treated in confidence. Only those NHS Greater Glasgow and Clyde staff involved in the selection process and processing your application will see your application form. If you are the successful applicant your application form will be retained and used to create your employee record file. Your application form will be held for 12 months, from the date of your application, within the NHS Greater Glasgow and Clyde recruitment system, after which period it will be deleted from the system.

14 Working for NHS Greater Glasgow and Clyde About us NHS Greater Glasgow and Clyde is the largest health board and provider of healthcare in Scotland and one of the largest health care providers in the UK. NHS Greater Glasgow and Clyde s purpose is to: Deliver effective and high quality health services, to act to improve the health of our population and to do everything we can to address the wider social determinants of health which cause health inequalities. The Board works in close partnership with other NHS organisations, local authorities and other agencies including the third sector to ensure that social work, education, housing, employment and environmental services unite effectively and efficiently with the NHS in tackling inequalities and underlying health problems in local communities. The future shape of health and social care provision is changing following the move to establish new statutory Partnerships between NHS and Local Authorities, responsible for the planning and delivery of Health and Social care for local populations. This requires the development of very different relationships between primary care, mental health services, community and acute services. NHS GGC serves a population of 1.2 million (over 1/5 of the population of Scotland) with services provided by 39,000 staff. The geographical area covered includes: Glasgow City, West Dunbartonshire, Inverclyde, Renfrewshire, East Renfrewshire, East Dunbartonshire and North Glasgow (Stepps-Moodiesburn corridor). Our services NHS Greater Glasgow and Clyde provides a full range of Secondary and Tertiary Clinical services, Primary Care, Mental Health and Community services included in which are a number of world-class specialist services. Find out more about NHS Greater Glasgow and Clyde at If you want to know more about the NHS Scotland, visit If you are successful in your application to join us, you will be working within one of our Acute, Primary and Community Care Services. These services are in turn supported by a range of Corporate Service functions including Administration, ehealth, Finance, Human Resources, Public Health, Corporate Planning, Facilities and Estates.

15 Click Here to find out more about our Community Services Click Here to find out more about our Mental Health Services Click here to find out more about the services in your area Employee benefits We offer all our staff excellent benefits including; NHS Superannuation pension scheme, Child Care Vouchers, Bursaries to support education and training, Interest free loans to purchase Zonecards for trains, buses, underground and some ferries Cycle to work interest-free loans to purchase bicycles and equipment For more information on the benefits available to NHS Greater Glasgow and Clyde staff, visit Further information For further information on any aspect of the recruitment process or for further details on working within NHS Greater Glasgow and Clyde contact: NHS Greater Glasgow and Clyde Recruitment Services West Glasgow Ambulatory Care Hospital Dalnair Street Glasgow G3 8SJ Tel: +44 (0)

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